MEDICARE: BELMAR SMILES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	9450	CO

General Provider Information

NPI Number	:	1598918591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELMAR SMILES, P.C.

Provider Business Mailing Address
First Line	:	8026 S DOVER ST
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80128-5322
Country	:	US
Telephone Number	:	312-404-4379
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 S TELLER ST
Second Line	:	SUITE 290
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-7388
Country	:	US
Telephone Number	:	303-935-3574
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRISTINA SEHY
Credential	:	DDS
Telephone Number	:	303-935-3574

Provider Enumeration Date	:	11/04/2008
Last Update Date	:	11/04/2008

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